NPIMap

Organization Active NPI

Ide Cap Services

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1023383288
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4351 Issued in NC
Legal business name
IDE CAP SERVICES
Practice address
4900 Waters Edge Dr
Ste 205
Raleigh, NC 27606-2463
Phone
(919) 755-0019
Fax
(919) 755-0021
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
IDEAL HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tammy Ylonda Lewis, RN
Title
Ceo
Phone
(919) 755-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4351 NC Primary

Addresses

Primary practice location

4900 Waters Edge Dr
Ste 205
Raleigh, NC 27606-2463

Mailing address

4900 Waters Edge Dr
Ste 205
Raleigh, NC 27606-2463
Phone (919) 755-0019

National Provider Directory

National Provider Directory
Tax ID family
Ideal Healthcare Services2 organizations share this tax ID, including this one
Part of
Ideal Healthcare Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1023383288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WATERS EDGE DR",
            "address_2": "STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062463",
            "telephone_number": "919-755-0019",
            "fax_number": "919-755-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WATERS EDGE DR",
            "address_2": "STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062463",
            "telephone_number": "919-755-0019",
            "fax_number": "919-755-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDE CAP SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDEAL HEALTHCARE SERVICES",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "YLONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-755-0019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.